Organization
SUMNER MEDICAL GROUP, PLLC
Active
Parent organization
SUMNER MEDICAL GROUP - LW, PLCC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMNER MEDICAL GROUP - LW, PLCC
Authorized official
JANET BOLSTAD (CFO)
(615) 989-4324
Entity
Organization
Contact information
Practice address
179 HANCOCK ST, 402, GALLATIN, TN 37066-6346
(615) 452-5943
Mailing address
300 STEAM PLANT RD STE 300, GALLATIN, TN 37066-3089
(615) 230-8070
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/07/2016
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